Provider Demographics
NPI:1881252740
Name:LONG, KARA SUZANNE (PA-C)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:SUZANNE
Last Name:LONG
Suffix:
Gender:F
Credentials:PA-C
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 SE 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-3857
Mailing Address - Country:US
Mailing Address - Phone:515-402-1360
Mailing Address - Fax:
Practice Address - Street 1:8421 PLUM DR
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7356
Practice Address - Country:US
Practice Address - Phone:515-270-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2025-05-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant